Individual
MYUNG SOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDPP
Contact information
Practice address
20305 32ND AVE, BAYSIDE, NY 11361-1021
(718) 939-6137
Mailing address
21509 47TH AVE APT 3C, BAYSIDE, NY 11361-3414
(646) 465-2886
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NY
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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